Objective: A meta-analysis was performed to augment the insufficient data on the impact of mutative EGFR downstream phosphatidylinositol-3-kinase(PI3K) and mitogen-activated protein kinase(MAPK) pathways on the clinic...Objective: A meta-analysis was performed to augment the insufficient data on the impact of mutative EGFR downstream phosphatidylinositol-3-kinase(PI3K) and mitogen-activated protein kinase(MAPK) pathways on the clinical efficiency of epidermal growth factor receptor tyrosine kinase inhibitor(EGFR-TKI) treatment of non-small cell lung cancer(NSCLC) patients.Methods: Network databases were explored in April, 2015. Papers that investigated the clinical outcomes of NSCLC patients treated with EGFR-TKIs according to the status of K-ras and/or PIK3 CA gene mutation were included. A quantitative meta-analysis was conducted using standard statistical methods. Odds ratios(ORs) for objective response rate(ORR) and hazard ratios(HRs) for progression-free survival(PFS) and overall survival(OS) were calculated.Results: Mutation in K-ras significantly predicted poor ORR [OR =0.22; 95% confidence interval(CI), 0.13-0.35], shorter PFS(HR =1.56; 95% CI, 1.27-1.92), and shorter OS(HR =1.59; 95% CI, 1.33-1.91) in NSCLC patients treated with EGFR-TKIs. Mutant PIK3 CA significantly predicted shorter OS(HR =1.83; 95% CI, 1.05-3.20), showed poor ORR(OR =0.70; 95% CI, 0.22-2.18), and shorter PFS(HR =1.79; 95% CI, 0.91-3.53) in NSCLC patients treated with EGFR-TKIs.Conclusion: K-ras mutation adversely affected the clinical response and survival of NSCLC patients treated with EGFRTKIs. PIK3 CA mutation showed similar trends. In addition to EGFR, adding K-ras and PIK3 CA as routine gene biomarkers in clinical genetic analysis is valuable to optimize the effectiveness of EGFR-TKI regimens and identify optimal patients who will benefit from EGFR-TKI treatment.展开更多
By preparing homogenous blend samples with different degrees of chain entanglement, we report an anomalous contribution of chain entanglement to phase separation temperature and rate of poly（methyl methacrylate）/pol...By preparing homogenous blend samples with different degrees of chain entanglement, we report an anomalous contribution of chain entanglement to phase separation temperature and rate of poly（methyl methacrylate）/poly（styrene-co- maleic anhydride） （PMMA/SMA） blends presenting a typical lower critical solution temperature （LCST） behavior. The melt- mixed PMMA/SMA blends with a higher chain entanglement density present a lower cloud point （To） and shorter delay time, but lower phase separation rate at the given temperature than solution-cast ones, suggesting that for the polymer blends with different condensed state structure, thermodynamically more facilitation to phase separation （lower Tc） is not necessarily equivalent to faster kinetics （decomposition rate）. The experimental results indicate that the lower Tc of melt-mixed sample is ascribed to smaller concentration fluctuation wavelength （Am） induced by higher entanglement degree, while higher entanglement degree in melt-mixed sample leads to a confined segmental dynamics and consequently a slower kinetics （decomposition rate） dominated by macromolecular diffusion at a comparable quench depth. These results reveal that the chain packing in polymer blends can remarkably influence the liquid-liquid phase separation behavior, which is a significant difference from decomposition of small molecular mixtures.展开更多
基金supported by Key Projects in the National Science & Technology Pillar Program (Grant No. 2013ZX09303001, 2015BAI12B12, and 2015BAI12B15)National Natural Science Foundation of China (Grant No. 81472473 and 81272360)Tianjin Municipal Commission of Science & Technology Key Research Program (Grant No.13ZCZCSY20300)
文摘Objective: A meta-analysis was performed to augment the insufficient data on the impact of mutative EGFR downstream phosphatidylinositol-3-kinase(PI3K) and mitogen-activated protein kinase(MAPK) pathways on the clinical efficiency of epidermal growth factor receptor tyrosine kinase inhibitor(EGFR-TKI) treatment of non-small cell lung cancer(NSCLC) patients.Methods: Network databases were explored in April, 2015. Papers that investigated the clinical outcomes of NSCLC patients treated with EGFR-TKIs according to the status of K-ras and/or PIK3 CA gene mutation were included. A quantitative meta-analysis was conducted using standard statistical methods. Odds ratios(ORs) for objective response rate(ORR) and hazard ratios(HRs) for progression-free survival(PFS) and overall survival(OS) were calculated.Results: Mutation in K-ras significantly predicted poor ORR [OR =0.22; 95% confidence interval(CI), 0.13-0.35], shorter PFS(HR =1.56; 95% CI, 1.27-1.92), and shorter OS(HR =1.59; 95% CI, 1.33-1.91) in NSCLC patients treated with EGFR-TKIs. Mutant PIK3 CA significantly predicted shorter OS(HR =1.83; 95% CI, 1.05-3.20), showed poor ORR(OR =0.70; 95% CI, 0.22-2.18), and shorter PFS(HR =1.79; 95% CI, 0.91-3.53) in NSCLC patients treated with EGFR-TKIs.Conclusion: K-ras mutation adversely affected the clinical response and survival of NSCLC patients treated with EGFRTKIs. PIK3 CA mutation showed similar trends. In addition to EGFR, adding K-ras and PIK3 CA as routine gene biomarkers in clinical genetic analysis is valuable to optimize the effectiveness of EGFR-TKI regimens and identify optimal patients who will benefit from EGFR-TKI treatment.
基金financially supported by the National Natural Science Foundation of China(No.51173165)the Fundamental Research Funds for the Central Universities(No.2013QNA4048)
文摘By preparing homogenous blend samples with different degrees of chain entanglement, we report an anomalous contribution of chain entanglement to phase separation temperature and rate of poly（methyl methacrylate）/poly（styrene-co- maleic anhydride） （PMMA/SMA） blends presenting a typical lower critical solution temperature （LCST） behavior. The melt- mixed PMMA/SMA blends with a higher chain entanglement density present a lower cloud point （To） and shorter delay time, but lower phase separation rate at the given temperature than solution-cast ones, suggesting that for the polymer blends with different condensed state structure, thermodynamically more facilitation to phase separation （lower Tc） is not necessarily equivalent to faster kinetics （decomposition rate）. The experimental results indicate that the lower Tc of melt-mixed sample is ascribed to smaller concentration fluctuation wavelength （Am） induced by higher entanglement degree, while higher entanglement degree in melt-mixed sample leads to a confined segmental dynamics and consequently a slower kinetics （decomposition rate） dominated by macromolecular diffusion at a comparable quench depth. These results reveal that the chain packing in polymer blends can remarkably influence the liquid-liquid phase separation behavior, which is a significant difference from decomposition of small molecular mixtures.
